Individual provider · Type 1 NPI

Renz Anthony Tan Antonio, DDS

Prosthodontics · San Diego, CA

NPI number 1306407267 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-2111

Mailing address

70 Empire Ct
Mountain View, CA 94040-1591

Other practice locations

  • 8955 Wood Rd Bldg 1, Bethesda, MD 20889-2111 · (301) 295-1550
  • 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 · (757) 953-2711

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X103836 (CA)
Prosthodontics Primary 1223P0700X103836 (CA)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

1,412 other providers at this address

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About NPI 1306407267

Renz Anthony Tan Antonio, DDS's National Provider Identifier is 1306407267, issued on Jun 21, 2019. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in San Diego, CA. The record was last updated on Aug 12, 2024.